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CITYof ORONO PERMIT N4; _ 54701 <br />Building Permit DATE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-735!2 � ( � <br />FREZONE <br />STF ICT SITE ADDRESS -_--.._-_ <br />LEGAL DESCRIPTION. PROP. ID. ��2 �, ��� <br />LOT------ BLOCK -_ __SUBDIVISION,_ <br />;JR (Nam • (Addressx( S (Phone) <br />VAR. DATE <br />ARCHITECT/ENGINEER - Must Certify Multi -Family, Commercial & Industrial Construction ans <br />COND. USE DATE ERT.NO. <br />(Firm) (Address) (Phone) <br />LOT AREA <br />WIDTH DEPTH <br />HUf DER• nm) IA dress) (Phone) <br />zy <br />PROPOSED SETBACKS <br />FFLONT R.SIDEO - <br />REA&R L.SID <br />TYPE OF WOR D_I%,W Addition Remodel Renovate <br />�*/ -- <br />1:ONST. TYPE BLDG. SIZE EST CONST VALUATION <br />LA E WETLANDS <br />L. W Ili <br />ACCESS <br />HESIDENTIAL <br />STORIES B 1 z <br />PERMIT FEES <br />BLDG. PERMIT �z <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />DWELL. <br />uNITS <br />BDRMS/FLR <br />STATE FEE <br />GAR STALLS <br />ATr <br />SEPTIC <br />APP DATE <br />CITY <br />PLAN REVIEW <br />COUNTY <br />DET <br />PENALTY _ <br />G JCK <br />PARK FEE <br />R <br />NON ESIO <br />PROPOSED USF <br />STATE <br />- <br />SAC CHARGE <br />PR. EASEMENT <br />OCC. <br />C L ASS. <br />-- — _'— — <br />STORIES <br />COUNCIL <br />APP. DATE <br />/ <br />TOTAL DUE �f ��c _ S-0 <br />n <br />MMMMP <br />INSPECTION REQUIRED <br />FOOTING belo,e puu, <br />%— FRAMING rough in <br />INSULATION <br />WALLBOARD Before Tapoul <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB. <br />JECT TO PENALTY <br />INSPECTION HOURS 4737357 <br />CALL 8 12 A.M. INSP 1 - 4 P.M <br />CALL 1 4 P.M. INSP. NEXT DA -f' <br />COPY WHITE FRF GRE <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING lL_ <br />MECHANICALle' _ <br />MVELL <br />SEPTIC✓ - <br />SEWER __- <br />WATER <br />GRADING & FILLING . <br />CTRICAL from State <br />CANARY INSPECTOR GOLD RECEIPT <br />PINK--ASSESSOH <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA UUIIILLDI COD OU MENTS. <br />Signature /� /'' U.rte le / <br />Appruved q / City of Orono <br />